Heroin & Opioid Crisis Lori Brewster, M.S., APRN/BC, LCADC - - PowerPoint PPT Presentation

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Heroin & Opioid Crisis Lori Brewster, M.S., APRN/BC, LCADC - - PowerPoint PPT Presentation

Apr 01, 2024 156 likes •656 views

Heroin & Opioid Crisis Lori Brewster, M.S., APRN/BC, LCADC September 19, 2019 Unintentional intoxication deaths Heroin in 2018 increased by 4.5 percent to a and total of 2,385 Opioid Opioids accounted for 88.6% of all Overdose

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Heroin & Opioid Crisis

Lori Brewster, M.S., APRN/BC, LCADC September 19, 2019

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Heroin and Opioid Overdose Summary

○ Unintentional

intoxication deaths in 2018 increased by 4.5 percent to a total of 2,385 ○ Opioids accounted for 88.6% of all unintentional intoxication deaths in Maryland in 2018.

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Summary, continued

  • Opioid-related deaths in 2018 increased by 5.2%

as compared to 2017.

  • This rate of increase is significantly lower than

the 8.2% rate of increase in 2017 and dramatically lower than the 70.4% rate increase in 2016.

  • Fentanyl accounted for 88.3% of all opioid

related fatalities in 2018 versus only 8% in 2013

Maryland Department of Health

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What Does the Data Show?

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So What is the Issue?

  • Opiates are having a significant impact on our

community:

○ Criminal Activity is on the increase ○ Deaths are on the Increase ○ Health care costs on the increase

  • This is a “community” issue – impacts every

facet of the community.

  • The “Face of Opiate Use” is not what many

people think.

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How Does Overdose Occur?

  • Deliberate misuse of a prescription opioid or illicit

drug such as heroin;

  • Prescriber miscalculation of dose;
  • Error by dispensing pharmacist;
  • Misunderstanding of directions for use;
  • Taking a prescription issued for someone else;
  • Combination of prescribed or illicit opioid with

alcohol or other medication.

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Who is At Risk?

  • Anyone using opioids for long-term

management of chronic pain;

  • Individuals discharged from emergency medical

care following opioid intoxication;

  • Detoxification or abstinent for a period of time;
  • Combining other medications;
  • Recently released from incarceration.
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Why the Increase in OD Deaths?

  • Crack down on Prescription Drug Use;
  • More Pure Heroin;
  • When changing from Prescription Drug to

Heroin no conversion;

  • Inclusion of fentanyl with the heroin;
  • After periods of abstinence, going back to

using the same amount of heroin

  • After periods of treatment
  • After periods of incarceration
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What is the Impact to the Community?

  • Loss of family support

for the individual;

  • Increase in treatment

need/costs;

  • Increase in Crime;
  • Increase cost to the

criminal justice system: – Law enforcement – Corrections – Judiciary

  • Decrease in the tax base:

– Fewer people with desire to reside in the community

  • Decrease in the employment

base:

– Employers having difficulty hiring individuals that can pass a drug test

  • Increase in health care costs:

– $700 billion a year in increased healthcare costs, crime and lost productivity

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So What Can Be Done?

  • Prescription Drug Monitoring

Program

  • Medication Assisted Treatment
  • Prescription Drop Off Sites
  • Naloxone
  • Treatment Expansion
  • Prevention and Outreach
  • Peer Support
  • Prescription Drug Education

Program for Prescribers

  • Overdose Fatality Review Teams
  • Case management for Addicted

individual

  • Encourage public to call 911-

Good Samaritan Law

  • COAT Project
  • Safe Station
  • So What

Is Being Done to Address the Issues?

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Lori Brewster, MS, APRN/BC, LCADC Wicomico and Somerset County Health Officer 108 East Main Street, Salisbury MD 21801 Phone: (410) 543-6930 Fax: (410) 543-6975 COAT: (443) 783-6875 Email: lori.brewster@maryland.gov Web: www.wicomicohealth.org